Here s how to use the Auto Accident kit documents. For each vehicle, please: Form Print out Use of form
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1 Here s how to use the Auto Accident kit docuents. For each vehicle, please: For Print out Use of for University DOUBLE Front cover Evidence of Coverage SIDED to show to police Auto Accident For Use for to report accidents to UI Fold into tri fold brochure Risk at risk@uidaho.edu State of Idaho Citizen Clai Procedure Tuck this page into the brochure Single sided Give this to the other party involved in an accident. This for gives directions to other party on how to subit their clai to State of Idaho. When you need a new Auto Accident kit, siply go to Risk s webpage, and generate a new brochure.
2 Blank Page
3 University of Idaho iiwsafe Driving Tips./ Choose to drive defensively./ Buckle up./ Take a oent to learn the car./ Operate cell phone ONLY when not driving./ Always check your blind spot./ Start slowly./ Keep a safe distance fro vehicle in front of you./slow down./ Pass safely, if you ust./ Back up safely./ Use "cover your brake" technique./ Stop safely What to give the other vehicle If the other party feels that the university driver is responsible for the accident, provide hi/her with the "Citizen's Clai Procedure (green for)." Do NOT give the other party a copy of the Auto Accident Guide. You ay show the other vehicle and the police the Evidence of Coverage on the front of this. University of Idaho iiw Instructions 1. Offer Assistance to anyone injured Do not ove injured unless absolutely necessary 2.Notify the police 3. Don't coent on the accident. Give inforation as requested by police and provide all other inforation and coents only to University Risk Manageent Office. 4. Do not accept responsibility for the accident. Do be courteous. If the other party feels that the university driver is responsible for the accident, provide hi/her with the "Citizen's Clai Procedure (green for)." Do NOT give the other party a copy of the. 4. Fill out this for. Coplete as uch as possible at the accident site. Send to: risk@uidaho.edu OR ail to University of Idaho Risk Manageent 875 Perieter Dr., MS 2433 Moscow, ID Obtain estiates of daage. If the university vehicle is covered by auto physical daage insurance, please obtain two estiates of repair costs and forward to Risk Manageent at ail stop NOTE: Do not delay sending this accident report: send estiates separately. University of Idaho iii Evidence of Coverage 6 ;.,a:: o,; ; ci; c., (") n1 l:b l!j n1 oi c=; n1 fii... :ti,!it?... c., :ti, i :c c=; 5 Show evidence of coverage to police when requested 'T1 ;::l.".'x,c '2. ; ct. ::, if a s:: c... C: '< ( s... C: I\.) C: I C/1 u, :: iii" 3: Q) ( _, 3 < 3. "'O a ( ii'l 3 I f G) = Cl ; ::, [ "C O >< "'O... :t ( C, ii3 3 "C Q 3 n... en en... o II) )> Q.... oi 3 Q. C/1 iii" _ II) ii3 111 a s..:::i :: 3 g; s:: = C"IO 3 i ::r c=; id!'! )> Q. Q. C/1 Q. < c=; C/1 cn!! C: > C n.. i :: :! 'Tl n J> nl :t Q. 'Tl 3!! 'Tl en g c en zw < Q. J> C: za C/1 :T.? n _o. ci3 ;:1: J>. C/1...,111 rs' co ::r :: n (I) < C/1 "U z (I) Q. ;:i: Q. iii". u r
4 Univ. Driver Nae: Which Departent: Vandal # Dept. Owned Yes or No Vehicle? Work Phone # Work Univ. Contact: (If Not Driver) Phone Nuber: If An Accident Involves Serious Injury or Extensive Property Daage, Contact (28) University of Idaho, Risk Manageent iediately. Supervisor's Signature: A. DESCRIPTION OF ACCIDENT D. OTHER VEHICLE G. Police & Coents Date: I I Tie: I Owner Nae: Nae of Officer: Place/Location: Which Police Describe what happened: Driver Phone Nuber Yr./Make Vehicle License Plate # Daaged Parts Insurance Co. Nae Insurance Co. Policy # Force? Report # What Citations were issued and to who? Who do you think was at fault? B. DIAGRAM ACCIDENT E. OTHER PROPERTY DAMAGE H. WITNESSES \J In n Owner: Describe Daage: Why? Nae: Telephone, Hoe Telephone, Work Nae: Telephone, Hoe IA I I B I IC I Telephone, Work A=University Vehicle, B, C=Other Vehicle(s) F. INJURED I. UNIVERSITY VEHICLE C. Speed of your vehicle before accident: Injured Nae: Vehicle Plate# Did either driver signal? I Age Make Model YR If so, Describe I VIN # Nature of I My Veh. I Other Veh. I Pedestrian I Est. Daages $ Condition Injury: Daaged Parts: Weather I I Road I Visibility Injured Nae: Where can vehicle be seen? Traffic controls note on diagra Age: Coents Nature of I My Veh. I Other Veh. I Pedestrian I If not drivable, ove to a secure location. Injury:
5
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